大隐静脉转流治疗髂股静脉栓塞11例体会

Experience on cross over great saphena in surgical treatment of chronic Iliofermoral venous occlusion

目的探讨大隐静脉转流术治疗慢性髂股静脉栓塞的可行性。方法对2004～2006年11例慢性完全性髂股静脉栓塞行大隐静脉转流（Palma）手术患者临床资料进行分析。结果随访17～27月，11例慢性髂股静脉栓塞患者下肢肿胀明显改善甚至消失。结论对于慢性髂股静脉栓塞患者行Palma手术仍可获较好疗效，Palma手术是一实用、经济的手术方式，在慢性髂股静脉栓塞的治疗中占有一定的地位。严格选择患者是保证手术疗效的前提。

Objective To evaluate the effects of Palma-Dale,s operation on treatment of chronic Ilio-fermoral venous occlusion. Methods From 2004 to 2006,11 consecutive tapients were operation for Iliofermoral venous occlusion. Results 11 patients were followed up,from 17 months to 27 months. Chronic lower extremity swelling ameliorated even disappeard. Conclusion Palma-Dales procedure is simple and effective for treating chronic Iliofermoral venous occlusion. Careful selection of candidates for surgical procedure is the keypoint to get satisfactory results.